Healthcare Quality and Accreditation Flashcards

What quality management framework does MOH require for healthcare facilities?

Answer: Continuous quality improvement program, clinical audit, performance indicators, patient safety culture assessment, and benchmarking against national standards

MOH requires healthcare facilities to implement continuous quality improvement programs including clinical audits, performance indicator tracking, patient safety culture assessment, and benchmarking against national and international standards.

What patient complaint management system does MOH require?

Answer: Formal complaint receiving, investigation, resolution, and feedback processes with defined timelines and escalation protocols

MOH requires all healthcare facilities to have formal complaint management systems with clear processes for receiving, investigating, and resolving complaints within defined timelines, with escalation protocols for unresolved issues.

What clinical audit requirements does MOH establish?

Answer: Regular systematic evaluation of clinical practice against evidence-based standards with action plans for improvement and monitoring of changes

MOH requires regular clinical audits that systematically compare current clinical practice against evidence-based standards, identify gaps, develop improvement action plans, and monitor the impact of implemented changes.

What healthcare accreditation standards does MOH recognize?

Answer: International accreditation bodies including JCI, CBAHI, ACHS, and others, with MOH licensing standards as the baseline requirement

MOH recognizes accreditation from several international bodies including JCI (Joint Commission International), CBAHI, ACHS, and others, while maintaining its own licensing standards as the baseline regulatory requirement.

What incident reporting system does MOH require?

Answer: Mandatory reporting of sentinel events, adverse events, near-misses, and medication errors through a structured reporting and analysis system

MOH mandates incident reporting for sentinel events, adverse events, near-misses, and medication errors through a structured system that includes investigation, root cause analysis, and corrective action implementation.

What clinical governance standards does MOH establish?

Answer: Integrated framework covering clinical effectiveness, risk management, patient experience, staff management, education and training, and use of information

MOH clinical governance integrates clinical effectiveness (evidence-based care), risk management, patient experience measurement, staff development and management, continuous education, and information-based decision making.